833-377-7325

SI Joint Injections
Peak Spine & Sports Medicine offers SI joint injections for lower back, buttock, hip, and pelvic-region pain in Marlton & Collingswood, NJ. Call (833) 377-7325.

SI Joint Injections in Marlton and Collingswood, NJ

When pain at the base of the spine is properly diagnosed and treated, daily movement can start to feel more natural again. SI joint injections may help patients move toward relief from lower back, buttock, hip, or pelvic-region pain so they can sit, stand, walk, travel, sleep, exercise, stay active with family, and return to the routines that make life feel normal.

SI joint injections are targeted, image-guided treatments used to address pain and inflammation in the sacroiliac joints. These joints connect the lower spine to the pelvis and help transfer weight between the upper body and the legs. At Peak Spine & Sports Medicine, SI joint injections may be recommended when pain appears to be coming from one or both sacroiliac joints rather than from a disc, nerve root, muscle, or facet joint.

Our approach centers on opioid-free, interventional pain care with a strong focus on education, outcomes, and restored quality of life. Patients are cared for by Dr. Milind Patel, Dr. Jill Kalariya, and our interventional pain management team through a concierge, white-glove model designed to restore quality of life without opioids. Relief should not feel like another complicated medical process. Our team works to reduce delays, simplify next steps, and help patients move toward a clear plan for less pain and better function.

To find out whether SI joint injections may help reduce lower back, buttock, hip, or pelvic-region pain, call Peak Spine & Sports Medicine at (833) 377-7325 or conveniently request an appointment online today. Telehealth consults are available for convenience when appropriate. We proudly serve patients in Marlton, Haddonfield, Collingswood, Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and surrounding communities.

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What Are SI Joint Injections?

SI joint injections are targeted injections used to diagnose and treat pain that may be coming from the sacroiliac joints.

The sacroiliac joints are located where the sacrum, the triangular bone at the base of the spine, meets the pelvis. These joints have limited motion, but they play an important role in stability, shock absorption, and load transfer between the spine and lower body.

When one or both SI joints become irritated, inflamed, arthritic, or painful, symptoms may be felt in the lower back, buttock, hip, groin, or upper thigh. Some patients notice pain when standing up from a chair, climbing stairs, walking, rolling over in bed, or standing for longer periods of time.

During an SI joint injection, a physician uses live X-ray guidance to place medication into or near the affected sacroiliac joint. At Peak Spine & Sports Medicine, this may include local anesthetic and, when appropriate, anti-inflammatory steroid medication.

This allows the injection to help:

  • Calm pain and inflammation in the affected SI joint
  • Improve comfort with walking, standing, sitting, or changing positions
  • Help confirm whether the SI joint is a meaningful source of pain
  • Support a broader treatment plan when SI joint pain is one part of a larger pain pattern

SI joint injections may be especially useful when the pain pattern points to the lower back, pelvis, buttock, or hip area. If symptoms suggest another source, such as an irritated nerve, facet joint, disc issue, muscle tissue, or peripheral joint, our physician may discuss other options such as epidural steroid injections, nerve root blocks, facet joint injections, medial branch blocks, trigger point injections, joint injections, or another interventional treatment.

SI joint injections are most often used for pain that appears to come from one or both sacroiliac joints. This may be called SI joint dysfunction, sacroiliac joint pain, or sacroiliitis, depending on the cause and clinical findings.

Patients may benefit from an evaluation for SI joint injections if they have:

  • Lower back pain near the pelvis or beltline
  • Pain when getting up from a seated position
  • Pain on one side of the lower back
  • Buttock pain
  • Hip or groin discomfort
  • Pain with rolling over in bed
  • Pain that worsens with standing, walking, stairs, or changing positions
  • Stiffness or aching around the lower back and pelvis
  • Pain after pregnancy, injury, repetitive strain, arthritis, or changes in movement mechanics
  • Pain that has not improved enough with rest, activity changes, therapy, or conservative care

SI joint injections are not the right treatment for every type of lower back or hip-region pain. For example, pain that travels sharply down the leg to the foot from an irritated spinal nerve may require a different approach, such as an epidural steroid injection or selective nerve root block. Pain that appears to come from the facet joints may be better evaluated with facet joint injections or medial branch blocks. This is why Peak Spine & Sports Medicine begins with a thorough evaluation rather than a one-size-fits-all recommendation.

When the SI joint becomes irritated, the surrounding tissues may become inflamed and sensitive. Because the SI joint sits between the lower spine and pelvis, pain can affect many normal movements, including standing, walking, bending, climbing stairs, and transitioning from sitting to standing.

During the procedure, the physician uses a live X-ray machine, called fluoroscopy, to guide the needle to the correct target. Once the needle is positioned, the physician injects a small amount of medication into or near the sacroiliac joint. This may include local anesthetic to help reduce pain and, when appropriate, anti-inflammatory steroid medication to calm irritation in the joint.

If pain improves after the injection, that response gives the physician valuable information. It may suggest that the targeted SI joint is contributing to the patient’s symptoms. If relief is meaningful but temporary, the treatment plan may include continued conservative care, additional diagnostic steps, therapy referral, or another interventional option.

At Peak Spine & Sports Medicine, the injection is only one part of the decision-making process. The team evaluates the full pain pattern, reviews imaging when appropriate, considers whether the SI joint is the primary pain generator, and customizes the treatment plan based on the patient’s anatomy, symptoms, response to the injection, and goals.

SI joint injections are usually brief outpatient procedures, but at Peak Spine & Sports Medicine, the experience begins well before the injection itself. Our team confirms the treatment area, reviews the purpose of the injection, and explains what the procedure is designed to show, treat, and help clarify.

Peak Spine & Sports Medicine performs SI joint injections using national guideline-based techniques. Following nationally recognized guidelines helps ensure the right joint is targeted, the patient’s response is interpreted accurately, and any next step is based on reliable information rather than guesswork with safety and efficacy in mind.

Prior to treatment, our physicians will ask about a patient’s usual pain level, where they feel it, and which movements or positions tend to bring it on. This helps establish a clear starting point, so the response after the injection can be measured in a meaningful way. For some patients, that may mean walking farther, standing longer, climbing stairs more comfortably, sitting through work, or sleeping with less interruption.

During the procedure, the team keeps the process calm, precise, and organized:

  • Patients are positioned carefully, so the treatment area can be accessed safely.
  • A live X-ray machine is used to identify the proper target for injection.
  • Patients are given local anesthetic to numb the area.
  • Our physician places the needle into or near the targeted sacroiliac joint.
  • A small amount of local anesthetic and anti-inflammatory steroid medication is delivered to the treatment area.
  • Patients are monitored before going home with clear aftercare instructions.
  • The skin is cleaned and numbed.

This allows SI joint injections to serve both a therapeutic and diagnostic purpose. The local anesthetic can help confirm whether the SI joint is a likely source of pain, while the anti-inflammatory medication may help calm irritation in the area.

This is where Peak Spine & Sports Medicine’s interventional approach matters. The procedure is not performed by feel or guesswork. Imaging guidance allows our physician to confirm placement, make adjustments when necessary, and treat the suspected pain source with a high level of accuracy.

The goal is to make the procedure feel straightforward for the patient while keeping the medical planning highly specific behind the scenes.

Recovery after SI joint injections is typically simple. Many patients return to light activity the same day or the next day, depending on their physician’s instructions and how they feel.

Some patients notice improvement quickly because of the local anesthetic. If anti-inflammatory steroid medication is included, additional relief may develop over the next several days. Mild soreness near the injection site can happen and usually fades without issue.

What makes recovery at Peak Spine & Sports Medicine different is the level of attention given to what happens next. A patient’s response to the injection helps guide the larger treatment plan, so the team does not treat recovery as an afterthought. Patients may be asked to track how their pain changes, how long relief lasts, and whether they are able to do specific activities that normally aggravate their symptoms.

The team may ask:

  • Did the pain return in the same pattern or in a different way?
  • How much relief did the patient feel?
  • Did the patient’s usual lower back, buttock, hip, or pelvic-region pain improve?
  • Were they able to sit, stand, walk, travel, climb stairs, work, exercise, sleep, or move more comfortably?
  • Did the injection help one side more than the other?
  • How long did the relief last?

These details help our physician determine whether the SI joint is likely contributing to the pain and whether the treatment plan should include continued conservative care, therapy referral, another injection when appropriate, or a different interventional option.

At Peak Spine & Sports Medicine, the procedure is one part of a broader plan. The team uses patient response to refine the next step, adjust the strategy, and keep treatment focused on what matters most: helping them move better and return to the parts of life they have been missing.

Relief from SI joint injections varies. Some patients experience short-term relief that helps confirm whether the SI joint is involved. Others may notice a longer period of improvement, especially when anti-inflammatory medication is part of the treatment plan and the injection is combined with better movement, strengthening, therapy, posture changes, or treatment of an underlying pain source.

For many patients, the most important value of an SI joint injection is that it can help clarify whether the sacroiliac joint is truly driving the pain. When pain decreases, patients may be able to move more comfortably, participate more effectively in therapy, and make progress toward improved function.

If symptoms return quickly or do not improve as expected, our physician may reassess the diagnosis and consider whether the pain is being driven by another source, such as an irritated nerve, facet joint, muscle tissue, hip joint, or deeper structural issue.

Why Choose Peak Spine & Sports Medicine for SI Joint Injections?

Peak Spine & Sports Medicine was built around a simple standard: this should be the kind of pain management practice we would want our own family members to visit.

Initial consultations at Peak Spine & Sports Medicine are designed to be thorough, personal, and highly focused. The team takes time to understand where the pain is coming from, how it affects daily life, what has already been tried, and what activities the patient needs to return to.

For one person, the priority may be sitting comfortably through a workday. For another, it may be walking through an airport, playing with grandchildren, getting through a golf trip, returning to exercise, or sleeping through the night. Those details matter because they shape the order, timing, and structure of the treatment plan.

Peak Spine & Sports Medicine offers:

  • Concierge, white-glove pain management care
  • A non-opioid approach to pain care
  • Ivy League trained professionals
  • Double board-certified pain management physicians
  • Cutting-edge interventional techniques and technology
  • Live X-ray guidance for precision and safety
  • Guideline-based SI joint injection procedures
  • Telehealth consults when appropriate
  • A helpful staff that works to reduce the burden on patients
  • Insurance access for eligible PPO/POS patients with out-of-network benefits

Care is led by Dr. Milind Patel and Dr. Jill Kalariya, double board-certified pain management physicians who perform advanced interventional procedures in the outpatient surgery center. Brian Brown, PA supports patients through conservative care, diagnostic workups, imaging coordination, therapy recommendations, and follow-up planning, helping each patient move through care with clarity.

Our practice is selective with insurance because the model is built around quality, not volume. We work for the patient, not the insurance company. That gives the team more time to listen, explain, coordinate care, and work for the patient rather than designing the visit around an insurance company’s schedule.

Visit our Why Choose Us page to learn more.

How Much Do SI Joint Injections Cost in Marlton and Collingswood, NJ?

The cost of SI joint injections depends on the treatment plan, the number of joints treated, the facility, and insurance benefits.

Peak Spine & Sports Medicine primarily works with patients who have PPO or POS insurance plans with out-of-network benefits. The practice is out of network for most insurance plans, which allows the team to maintain a smaller, more personalized model with longer visits, tailored treatment plans, more education, and less pressure to rush patients through care.

Many patients are surprised to learn that out-of-network care with PPO/POS plan benefits are typically much more accessible than they expected. The Peak Spine & Sports Medicine team can help review benefits, explain the process, and determine whether the practice is a good fit.

Peak Spine & Sports Medicine does not participate with EPO, HMO, Medicare, or Medicaid plans. This allows our office to see our new and existing patients quickly.

Patients visit Peak Spine & Sports Medicine in Marlton and Collingswood from Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and surrounding areas because they want high-level interventional pain care without an opioid-first approach.

SI joint injections are commonly performed pain management procedures, but every procedure carries some risk. Possible side effects may include temporary soreness, bruising, bleeding, infection, allergic reaction, temporary numbness, temporary increase in pain, or lack of meaningful pain relief.

Safety depends on careful patient selection, sterile technique, accurate needle placement, and appropriate follow-up. At Peak Spine & Sports Medicine, SI joint injections are performed with live X-ray guidance, so the physician can see the treatment area in real time and confirm placement before medication is delivered.

The goal is to be precise, intentional, and conservative with medication while still treating the source of pain effectively.

At Peak Spine & Sports Medicine, we do not use opioids as a shortcut for pain care.

Our practice focuses on interventional procedures because many pain problems are focal. A painful SI joint, irritated nerve, disc issue, facet joint, muscle problem, or hip-region pain source often requires a targeted solution. Medication taken by mouth circulates through the whole body. That can mean higher doses, more side effects, limited benefit, and no clear endpoint.

Interventional pain management is different. It is designed to identify the source of pain and treat it directly. For the right patient, SI joint injections can provide useful diagnostic information, meaningful relief, and a path toward longer-term improvement and restored quality of life.

Schedule an SI Joint Injection Consultation in Marlton or Collingswood, NJ

Lower back, buttock, hip, or pelvic-region pain should not decide how much life a patient gets to enjoy. Whether the goal is to sit through work, travel more comfortably, walk farther, exercise again, play with the kids or grandkids, sleep better, or simply move through the day with less pain, Peak Spine & Sports Medicine can help patients understand their options.

For SI joint injections in Marlton and Collingswood, NJ, contact Peak Spine & Sports Medicine at (833) 377-7325 or schedule a consultation online today. Our team will help determine whether the pain pattern, goals, and insurance benefits make our concierge interventional pain model the right fit. We proudly serve patients in Marlton, Haddonfield, Collingswood, Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and surrounding communities.

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SI Joint Injections Marlton, NJ – FAQs

Most patients tolerate the procedure well. The skin is numbed before the injection, and the physician uses image guidance to keep the procedure precise. Some pressure or brief discomfort may occur, but the procedure is usually quick.

SI joint injections are used to treat pain that may be coming from the sacroiliac joint. They may be used for lower back pain, buttock pain, hip-region pain, groin discomfort, pelvic-region pain, sacroiliitis, SI joint dysfunction, or pain that has not improved enough with conservative care.

No. SI joint injections treat pain that may be coming from the sacroiliac joint. Epidural steroid injections are typically used for pain related to nerve irritation, such as pain that travels into the arm or leg. Our physician will recommend the appropriate treatment based on the source of pain.

No. SI joint injections target the sacroiliac joint where the lower spine meets the pelvis. Facet joint injections target the small joints along the back of the spine. Our physician will recommend the appropriate treatment based on the suspected source of pain.

Yes, SI joint pain may be felt in the lower back, buttock, hip, groin, or upper thigh. If the pain pattern and exam findings suggest the sacroiliac joint may be involved, an SI joint injection may help confirm and treat that source of pain.

Some patients feel relief within a short period because of the local anesthetic. Anti-inflammatory steroid medication may take several days to provide additional relief. Our physician will explain what to track after the procedure, including how much relief is experienced and how long it lasts.

Relief varies. Some patients experience short-term relief that helps confirm whether the SI joint is involved, while others notice longer improvement when injections are combined with continued conservative care, therapy, strengthening, activity changes, or treatment of an underlying condition.

If SI joint injections improve the usual pain, our physician may use that information to guide the next step in the treatment plan. This may include continued conservative care, therapy referral, another injection when appropriate, or evaluation of other contributing pain sources.

If SI joint injections do not improve the usual pain, that information is still useful. It may mean the SI joint is not the primary pain source, and the team will reassess whether the pain may be coming from the spine, nerves, muscles, hip joint, or another structure.

Some patients benefit from therapy after pain is better controlled. Peak Spine & Sports Medicine does not provide physical therapy in-house, but the team may refer patients to outside physical therapy when strengthening, mobility, posture, gait mechanics, or pelvic stability is part of the plan.

In many cases, yes. Telehealth consults may be available to help expedite evaluation, review symptoms, and determine whether an in-person exam or procedure consultation is appropriate.

Peak Spine & Sports Medicine accepts insurance and primarily works with PPO and POS plans that have out-of-network benefits. The practice does not participate with EPO, HMO, Medicare, or Medicaid plans. The team can help patients determine whether their benefits may apply.